title: Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil.
abstract: Bilateral acute depigmentation of the iris (BADI) is a recently described entity characterized by acute onset of pigment dispersion in the anterior chamber, depigmentation of the iris, and heavy pigment deposition in the anterior chamber angle. Involvement is always bilateral, simultaneous, and symmetrical. We report the case of a 61-year-old man who presented with bilateral ocular pain, red eyes, and severe photophobia. Examination revealed a dense Krukenberg spindle, heavy pigment dispersion in the anterior chamber, extensive transillumination iris defects, and a heavy pigment deposition in the trabecular meshwork bilaterally. Intraocular pressure increased to 48 mmHg in both eyes. The patient received topical steroids, maximum hypotensive treatment and oral valacyclovir. Intraocular pressure gradually decreased throughout the second and third months, and medications were gradually tapered. The time to complete resolution of pigment dispersion was 18 weeks. Visual acuity and visual fields remained normal, but the photophobia was permanent.
authors.affiliation: Glaucoma Service, Oculare Ophthalmology Center, Belo Horizonte, Brazil. heloisa.maestrini@gmail.com
authors.forename: Heloisa Andrade
authors.initials: HA
authors.lastname: Maestrini
authors.forename: Angela Andrade
authors.initials: AA
authors.lastname: Maestrini
authors.forename: Danuza de Oliveira
authors.initials: Dde O
authors.lastname: Machado
authors.forename: Daniel Vitor Vasconcelos
authors.initials: DV
authors.lastname: Santos
authors.forename: Homero Gusmão de
authors.initials: HG
authors.lastname: Almeida
mesh_terms: D000208:Acute Disease; D058447:Eye Pain / Q000175:diagnosis*; D006801:Humans; D007498:Iris; D007499:Iris Diseases / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D020795:Photophobia / Q000209:etiology; D010859:Pigmentation Disorders / Q000175:diagnosis*; D014792:Visual Acuity